Individual
IRAN G MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
(520) 342-9677
Mailing address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
(520) 342-9677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-101368
AZ
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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